Individual
DR. KENNETH M WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 BELLEVUE ST SE, SUITE 260, SALEM, OR 97301-3819
(503) 375-3636
(503) 375-3737
Mailing address
PO BOX 1168, CANBY, OR 97013-1168
(936) 777-2255
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
MD16217
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045336
—
OR
Enumeration date
07/17/2006
Last updated
07/23/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us